MRS. JESSICA ELLIS (NPI# 1851775704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851775704 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ELLIS |
| Other Name | JESSICA HAKLAR |
| Practice Address |
2132 S 12th St Ste 103 Allentown PA 18103-4814 |
| Mailing Address |
3664 Vista Dr Macungie PA 18062-2139 |
| Practice Telephone | 4843593447 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC009799 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1851775704 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2045 Westgate Dr Ste 304, Bethlehem, PA 180177475 | 6108658177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081081 | Jessica Ann Ellis | Registered Nurse | 3910 Ashwood Dr, Pearland, TX 77584-9200 | 2020-04-14 |
| 1003289950 | Jessica Lynn Ellis | Licensed Practical Nurse | 414 Linden Pl, Elmira, NY 14901-1622 | 2015-11-01 |
| 1356529358 | Jessica Erin Ellis | Registered Nurse | 500 Bethany Woods Dr, Temple, GA 30179-3574 | 2008-02-01 |
| 1114487188 | Jessica Marie Ellis | Counselor | 1450 Madison Ave, Covington, KY 41011-3369 | 2019-03-25 |
| 1407348295 | Jessica Ellis | Behavior Technician | 5304 Hollyridge St, North Las Vegas, NV 89081-4000 | 2018-06-06 |
| 1255849832 | Jessica Ellis | Registered Nurse | 2850 S Industrial Hwy, Ann Arbor, MI 48104-6796 | 2018-01-17 |
| 1124571690 | Jessica Ellis | Speech-Language Pathologist | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 | 2016-08-01 |
| 1962850800 | Jessica J Ellis | Dental Hygienist | 228 Beeman Pl, Us Army Dental Activity, Ft Riley, KS 66442-7009 | 2016-06-01 |
| 1851768907 | Jessica Ellis | Pharmacist | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2015-08-25 |
| 1861893380 | Jessica Anne Ellis | Counselor | 1590 Crestview Dr, Ashland, OH 44805-3560 | 2014-09-16 |
| Street Address |
2132 S 12TH ST STE 103 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346702420 | Devin Kenny Hussong | Psychologist | 2132 S 12th St Ste 103, Allentown, PA 18103-4814 | 2019-04-05 |
| 1235619131 | Otto Psychological Associates, LLC | Counselor | 2132 S 12th St Ste 103, Allentown, PA 18103-4814 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140457 | Jessica Bratt | Counselor | 2020 Downyflake Ln Ste F, Allentown, PA 18103-4917 | 2019-12-04 |
| 1417513227 | Hannah Collett | Counselor | 2132 S 12th Street, Suite 402, Allentown, PA 18103-4810 | 2019-05-16 |
| 1679045967 | Blue Oasis Therapeutic Services LLC | Counselor | 2233 Walbert Ave Ste 202, Allentown, PA 18104-1363 | 2018-12-26 |
| 1558830976 | Victoria Torres | Counselor | 977f Village Round, Allentown, PA 18106-9785 | 2018-11-14 |
| 1245760917 | Lindsay Marie Fleishman | Counselor | 968 Postal Rd Ste 315, Allentown, PA 18109-9349 | 2017-06-15 |
| 1003342080 | Ida Andrea Olmeda | Counselor | 1700 Hanover Ave, Allentown, PA 18109-2451 | 2017-05-11 |
| 1326598186 | Tasha Behnke | Counselor | 1329 Hamilton St # 3, Allentown, PA 18102-4328 | 2016-10-05 |
| 1720431711 | Melissa Pfancook | Counselor | 450 Chew St Ste 203, Allentown, PA 18102-3434 | 2016-07-14 |
| 1487025847 | Maryanne Manula-kosciolek | Counselor | 922 N Berks St, Allentown, PA 18104-3608 | 2015-10-12 |
| 1780003996 | Amy Hausman | Counselor | 1611 Pond Rd Ste 401, Allentown, PA 18104-2258 | 2014-04-15 |
| Find all providers in ALLENTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.